NPIMap

Organization Active NPI

Universal Health Care / North Raleigh, Inc

  • Skilled Nursing Facility
  • Raleigh, NC
National Provider Identifier
1144299702
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0611 Issued in NC
Legal business name
UNIVERSAL HEALTH CARE / NORTH RALEIGH, INC
Practice address
5201 Clarks Fork Dr
Raleigh, NC 27616-5868
Phone
(919) 872-7033
Fax
(919) 872-7035
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alan Beaver
Title
VP
Phone
(828) 459-2977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0611 NC Primary

Addresses

Primary practice location

5201 Clarks Fork Dr
Raleigh, NC 27616-5868

Mailing address

5201 Clarks Fork Dr
Raleigh, NC 27616-5868
Phone (919) 872-7033

Other identifiers 4

IdentifierTypeStateIssuer
340614VMedicaidNC
7100087OtherNCEVERCARE PROVIDER NUMBER
001CWOtherNCBCBS PROVIDER NUMBER
3405529MedicaidNC

Other names 1

  • UNIVERSAL HEALTH CARE / NORTH RALEIGH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000975 NC Part A Provider - Skilled Nursing Facility 0648189480 Practice locations: Raleigh, NC

Skilled nursing facility certification: CCN 345529

Legal name
UNIVERSAL HEALTH CARE / NORTH RALEIGH, INC
Doing business as
UNIVERSAL HEALTH CARE/NORTH RALEIGH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 7, 2004
Last certification
Feb 24, 2025
Beds
132
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medical Facilities of America
Organization structure
CorporationProprietary
Incorporated
Dec 31, 2012 in NC
Enrollment address
5201 Clarks Fork Drive NW
Raleigh, NC 27616-5868

Care Compare: Nursing home

Medicare Care Compare
Listed as
Perry Creek Health and Rehabilitation CenterCCN 345529
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 7, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132123.9 residents per day on average
Penalties (3 years)
5Fines totaling $326,170

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Universal Health Care / North Raleigh, Inc Organization, Raleigh, NC Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Sep 11, 2002 100%
Choice Health Management, Serv LLC Organization, Claremont, NC Management services company Operational/Managerial Control Mar 12, 2004
Alan Curtis Beaver Individual W-2 Managing EmployeeCoo Nov 27, 2017
Donald Clay Beaver Individual 5% Or Greater Direct Ownership Interest Sep 11, 2002 100%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1144299702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CLARKS FORK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165868",
            "telephone_number": "919-872-7033",
            "fax_number": "919-872-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 CLARKS FORK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165868",
            "telephone_number": "919-872-7033",
            "fax_number": "919-872-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH CARE / NORTH RALEIGH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "828-459-2977"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340614V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "7100087",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "001CW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405529",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL HEALTH CARE / NORTH RALEIGH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIVERSAL HEALTH CARE / NORTH RALEIGH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.